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Publikációk

Publications

http://www.who.int/country-cooperation/publications/en/

Global Meetings of Heads of WHO Offices in countries, territories and areas with the Director-General and Regional Directors

The biennial meeting of Heads of WHO Offices in countries, territories and areas takes place at WHO headquarters with the Director-General and Regional Directors. This global meeting is designed to make WHO’s work more responsive to country needs and to allow staff to report on progress at country level in achieving key yearly and long-term objectives.

7th Global Meeting (2013)

WHO/Violaine Martin

The 7th and most recent global meeting was held in November 2013. Its overall objective was to foster a deeper understanding of the key programmatic and managerial elements of the WHO reform, as well as its implications for WHO’s work at the country level.

Reports from previous meetings, as well as summary reports, are available.

World Health Partners (WHP)

http://healthmarketinnovations.org/program/world-health-partners-whp

Summary

World Health Partners is a not-for-profit health service delivery organization that uses social franchising to link existing village-level providers through business relationships and technology to high levels of care in order to provide comprehensive, quality health care to rural communities.

Program goals

World Health Partners's (WHP) goal is to provide health and reproductive health services in low-income countries by harnessing local market forces to work for the poor. Leveraging existing social and economic infrastructure, we utilize the latest advances in communication, diagnostic and medical technology to establish large scale, cost-effective health service networks. We focus on serving rural and other vulnerable communities.

Key program components

WHP’s social franchise consists of a tiered health and family planning service delivery network that brings together individual private providers, both formally and informally qualified. Existing informal providers (SkyCare providers or better resourced SkyHealth Centers), situated deep in rural areas and in parts of towns where the poor predominate, are linked to highly qualified formal doctors, in virtual Central Medical Facilities. SkyCare providers are also linked to nearby urban formal providers at WHP-owned or approved Franchised Clinics and Franchised Diagnostic Clinics for referrals. Clients pay out of pocket for most services, offered at low prices. For the neediest clients, services are subsidized by WHP which are currently supported by donors or from government pro-poor programs. The private providers’ commitment to providing quality services, especially for certain mandated services (depending on program objectives), is obtained by co-opting them into profitable health franchises.

A 5-year project, funded by The Bill and Melinda Gates Foundation, was launched in December 2011 in Bihar - the third largest state in India, and one of the poorest. A central characteristic of this program is its focus on improving the detection and treatment of four focus diseases: tuberculosis, visceral leishmaniasis, childhood pneumonia, and diarrhea. The project’s goal is to increase coverage of appropriate interventions for the four diseases by 15 to 20 percent among the region’s population through WHP’s social franchise network that would cover at least 25 out of the 38 districts in Bihar, and serve up to 70 million people.

Pilot Project in Kenya:

WHP replicated their model in other parts of India and has began a pilot project in Kenya. The Kenyan project is 4 months old and during this period a greater focus was placed on network creation resulting in the WHP network in place with 12 facilities and 80 mobile providers (CHVs). Additionally, 6 facilities and 16 CHVs enrolled under the Sky project as of October 31, 2014.

From June- October 2014, there were 478 tele-consultations. Stationed facilities owned by Clinical officers and Nursing officers provide most of the OPD and FP services and connect through tele-medicine as per the need. CHVs connect their patients with CMF using mobile phones and refer to the catchment facility (a Sky Center or nearest public facility as per the need).

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The Primary Care Innovator's Handbook: Voices from Leaders in the Field

The World Health Organization estimates a shortage of 4.3 million health care workers globally. With this critical lack of health resources, primary care has garnered more and more attention as the key to improving health systems in low- and middle-income countries. As the first point of care for patients, primary care clinics in low- and middle-income countries play a key role as a gateway to the rest of the health system, and they provide the basic preventive and curative care that saves the most lives. Consequently, interventions at the primary care level are crucial to improving health outcomes.

Primary care leaders want and need practical knowhow. They recognize that there are not always clear solutions to tough challenges, but they have found that there is value in sharing ideas and experiences, testing new approaches, and sharing the results to enable successful innovations to spread more rapidly between organizations and across geographies.

The Primary Care Innovator’s Handbook

With that, the Center for Health Market Innovations (CHMI) is excited to announce the launch of The Primary Care Innovator’s Handbook: Voices from Leaders in the Field. The Handbook is an attempt to share knowledge between innovators in an open and informal way, and to encourage more conversations of this style among the community of innovators working to improve primary care.

The Handbook is unique in that it is co-written by implementers themselves, showcasing reflections from leaders on their experiences, and including concrete tools they have employed in their work. The Handbook reflects what these organizations have learned from their experiences thus far, and is intended to leave the reader with ideas, tools, and inspiration, that they can then immediately test, implement, or adapt to their own work.

The Handbook also includes a unique feature in the form of running comments from peer organizations that accompany each chapter. Through this running commentary, the Handbook is working to capture the conversation around primary health care delivery, rather than a one-way presentation of ideas.

The primary audience of the Handbook is managers of primary care organizations, or those who are hoping to start such organizations. Nevertheless, the knowledge shared by the primary care organizations is relevant to many others working in the health field, and the open conversation begun here is one we hope to continue with all others working to improve health systems.

The Handbook covers a range of topics that are central to the successful operation of a primary care chain or franchise. Some key questions discussed include:

How do you choose your clinic sites?

How do you best staff your clinics?

How do you continuously improve your model?

The Handbook should be considered a “living handbook.” It is the start of a conversation and hopefully will grow over time with new insights and experiences. We hope that others will contribute to the development of this field by sharing their experiences as innovators in primary care. Rather than see one another as competitors, let’s see one another as what we truly are: partners in building better health systems globally. We invite you to download the report here and join the dialogue at healthmarketinnovations.org.